ATI Pharm Post Test Review

Question 1

Gentamycin

Answer 1

Monitor labs for creatinine

Question 2

Pregabalin for fibromyalgia

Answer 2

Report facial swelling

Question 3

Lidocaine Toxicity

Answer 3

Ventricular Dysrhythmia

Question 4

Decreased Potassium levels with furosimide causes

Answer 4

Causes Weakness
depressed DTR, and not muscle rigidigity

Question 5

Cholinestrase inhibitor Neostigmine for Myasthenia Gravis contraindicated

Answer 5

Peptic Ulcer Disease as neostigmine increases gastric acid which will cause exacerbation

Question 6

Method to administer albuteril and fluticanosol

Answer 6

Alnuterol 1st puff
wait 1 min
Albuterol 2nd puff
Wait 5 mins
Fluticanosol then

Question 7

Alcohol withdrawal treated with

Answer 7

Benzo - chlordiazepoxide

Question 8

Naloxone for

Answer 8

acute opioid toxicity

Question 9

Methadone for

Answer 9

opioid dependence

Question 10

Finasteride

Answer 10

increases risk of impotence

Question 11

Osteoporosis Ibandronate teaching

Answer 11

Take one tab of med on the same day each month.
Take ibandronate after waking up
Remain upright minimum 1 hr to avoid esophagitis

Question 12

Hyperthyroiddism prescribed methimazole side SE

Answer 12

Agranulocytosis = report sore throat.

Question 13

Methotexate

Answer 13

Risk of bleeding

Question 14

Albuterol

Answer 14

Tachycardia, Chest Pain, Palpitations, HTN, Dysrhythmia/ Arrhythmia

Question 15

Ciprofloxacin risk

Answer 15

Phtosensitivity

Question 16

Insulin lispro prescribed with pramlintide

Answer 16

Monitor hypoglycemia 3 hour after administration

Question 17

Osteoporosis med action

Answer 17

take on empty stomach
food interfers with absorptio of med
take 1st thing in the morning and take it with water not milk to increase absorption

Question 18

alosteron ?

Answer 18

decrease frequency of defecation
Alosterone is used to treat IBS with diarrhea to decrease urge and frequency of diarrhea

Question 19

Nitrofurantoin

Answer 19

Lower UTI infections

Question 20

Ganciclovir is an antiviral

Answer 20

for immune problems like cytomegalovirus infections

Question 21

Amphotericin B

Answer 21

Antifungal med - system fungal infecton

Question 22

Hyperlipedemia colesevelam monitor for

Answer 22

Constipation

Question 23

Bethanechol

Answer 23

Tx for non-obstructive urinary retention, given postop and postpartum to relax spincter muscle

Question 24

Leuprolide

Answer 24

Increase calcium intake - as leuprolide causes bone loss.
Leuprolide is a prostrate cancer drug

Question 25

Tajin Methyldopa side effect

Answer 25

HTN - can cause dizziness is pt. teaching

Question 26

Type 2 diabetes taking exenatide

Answer 26

take it before food. discard the open diabetes injector pen in 30 days

Question 27

Vancomycin

Answer 27

infuse over 60 mins to decrease risk of hypotension, facial flushing - redman's syndrome avoid

Question 28

Client with CAD do not take

Answer 28

Sumatriptan for headache as it causes coronary vasospasm

Question 29

Azithromycin

Answer 29

Antibiotic for respiratory track infection, skin infection, otitis media. Azithromycin used as a substitue for penicillin

Question 30

Pt. has system fungal infection from IV amphoteric B deoxycholate

Answer 30

Administer diphenhydramine for reaction.

Question 31

Simvastatin - Statin drug adverse effect

Answer 31

Hepatotoxicity. Check liver function test like ALT

Question 32

Hydroxychloroquine can cause

Answer 32

retinal damage - can lead to blindness

Question 33

Nevirapine???

Answer 33

Rash adverse effect SJS

Question 34

Acetazolamide

Answer 34

Sulfa-based medication...check for client having sulfa allergy

Question 35

Citalopram an SSRI causes adverse effect

Answer 35

Prolonged QT interval Caridac Dysrhythmias Torsades de pointe

Question 36

Filgrastine

Answer 36

WBC or neutrophil production

Question 37

Open angle glucoma learn

Answer 37

Brimonidine?

Question 38

Acyclovir - antiviral med

Answer 38

Herpes zoster, influenza

Question 39

Overload of fluid can be seen as

Answer 39

rales

Question 40

Folic acid

Answer 40

increases blood cells

Question 41

Neutrophil range

Answer 41

ANC between 2,500 and 6,000

Question 42

Benzonatate

Answer 42

Antiintussive med Avoid driving as it causes sedation It is not an expotrant

Question 43

Prostrate cancer Leuprolide MOA

Answer 43

decreases production of testosterone

Question 44

HIV Med ritonavir and zidovudine take

Answer 44

take together to prevent resistance

Question 45

Nitro

Answer 45

stored @ room temp in original containe. Keep away from heat/moisture/ air Take nitro 5-10 mins before exercise to prevent angine. Nitro effect last upto 30-60 mins

Question 46

Nitro pathc

Answer 46

for 14 hours When you wake up put the nitro patch

Question 47

Terazosin

Answer 47

HTN, BPH

Question 48

Lactic Acid range

Answer 48

less than 2 mmol/L

Question 49

What does a lactic acid of 2.2 mean?

Answer 49

Lactate is the most widely used marker of tissue hypoperfusion in patients with severe sepsis.

Question 50

With Li report

Answer 50

Sodium level of 130...range is 135-145 Specific gravity 1.005 - 1.030

Question 51

Raloxifene for osteoporosis Raloxifene is an estrogen receptor for treatment of osteoporosis postmenopausal and protect against breast cancer

Answer 51

Check pregnancy status Teratogenic

Question 52

For neuropathy in diabetes type 2 what is prescribed?

Answer 52

Lorsartan

Question 53

A1C med = Gilpizide= sitagliptin

Answer 53

check blood sugar

Question 54

Ginger

Answer 54

Ginger may increase the risk of bleeding. Talk to your doctor before taking ginger if you take blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin. Diabetes medications: Ginger may lower blood sugar.

Question 55

echinacea

Answer 55

he most common side effects of echinacea are digestive tract symptoms, such as nausea or stomach pain. Rashes

Question 56

PT

Answer 56

PT results is: 11 to 13.5 second

Question 57

Activated Clotting Time range

Answer 57

ACT is 70-120 se

Question 58

PTT range

Answer 58

less than 70 (46-70)

Question 59

Plt range

Answer 59

150,000 to 450,000 platelets

Question 60

Ramelteon

Answer 60

Ramelteon (Rozerem) is a medication approved by the FDA to treat insomnia. Non-habit forming sleep-aid

Question 61

Buccal med

Answer 61

To give a drug buccally, insert it between the patient's cheek and gum (as shown below). Tell him to close his mouth and hold the tablet against his cheek until it's absorbed. One benefit of this approach is that you can remove what's left of a tablet from the patient's mouth if he has an adverse reaction.

Question 62

Exenatide

Answer 62

Exenatide is used to treat type 2 diabetes mellitus. The statements made by patient that would indicate understanding using exenatide: Monitor blood sugar levels before and after meals, and at bedtime to avoid hypoglycemia. Inject exenatide as soon as it is prepared, and never inject exenatide insulin in the same place as other insulin at the same time. Take exenatide injector one hour before antibiotics or birth control pill. If a dose of exenatide is missed do not double up on the doses or take it right after, instead go back to the regular dosing schedule of this drug. Store the exenatide auto injector pen with med after opening in the refrigerator, and dispose of the injector pen with or without med in 30 days.

Question 63

Niroglycerine transdermal patch pt. teaching

Answer 63

Place the patch on a hairless area of skin, and roate site when applying new patch. Pt. should be medication free between 10-12 hours daily. The pt. should wash their hands before and after applying the nitro patch. Remove old patch, wash skin with soap and water. Dry thoroughly before applying another one. Remove the patch at nigh to reduce the risk of developing tolerance to nitroglycerin.

Question 64

Leuprolide is chemotherapy drug that treats prostrate cancer

Answer 64

Leuprolide can cause bone and muscle mass loss. Pt. should take calcium, vit.D supllement, and increase bone mass with weight bearing exercises.